DR. RAFAEL SERRANO M.D.
NPI 1235589599
Orthopaedic Surgery in Pittsburgh, PA
About Dr. Rafael Serrano M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAFAEL SERRANO M.D. (NPI 1235589599) is an individual orthopaedic surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT223063) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Rafael Serrano M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Rafael Serrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Muscatine, IA 52761
- Reassigned Medicare billing, Iowa enrollment
- 1,506 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Waterloo Medical Center
Acute Care Hospitals · Waterloo, IAAllen Hospital
Acute Care Hospitals · Waterloo, IAWaverly Health Center
Critical Access Hospitals · Waverly, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSBURGH, PA 15203
PITTSBURGH, PA 15203
PITTSBURGH, PA 15203
PITTSBURGH, PA 15203
PITTSBURGH, PA 15203
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rafael Serrano's NPI number?
The NPI number for Rafael Serrano is 1235589599. It was assigned to this individual provider in the NPPES registry on June 17, 2016.
Where is Rafael Serrano located?
Rafael Serrano practices at 3200 S Water St, Pittsburgh, PA 15203. The listed phone number is (855) 937-7678.
What is Rafael Serrano's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Rafael Serrano enrolled in Medicare?
Yes. Rafael Serrano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rafael Serrano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Serrano reassigns Medicare benefits to Iowa Physicians Clinic Medical Foundation (Muscatine, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafael Serrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafael Serrano accept?
Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Rafael Serrano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rafael Serrano affiliated with any hospitals?
According to CMS data, Rafael Serrano is affiliated with Mercyone Waterloo Medical Center, Allen Hospital and Waverly Health Center.
When was this NPI record last updated?
The NPPES record for Rafael Serrano was last updated on September 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Rafael Serrano, M.D. · NPI 1235589599
Orthopaedic Surgery physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 17, 2016.
## Identity
- **NPI:** 1235589599 (Entity type: Individual)
- **Enumerated:** June 17, 2016
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MT223063 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 S WATER ST, Pittsburgh, PA 15203-2307
- **Phone:** (855) 937-7678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Iowa Physicians Clinic Medical Foundation (NPI 1982831426, Muscatine, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235589599) · Data from the CMS NPPES public registry.